Bittens Addiction | SUGAR®
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SUGAR ® Certification for professionals

The Dahl & Dahl Addiction Center and Bittens Addiction are offering a certified training course for the first assessment tool specifically dedicated to addiction/pathological use of sugar, flour and/or food.


What is SUGAR®?

The assessment and mapping tool SUGAR® is a structured interview that examines the client’s relationship with sugar, flour, processed food and related consequences.  Prior to the development of SUGAR® there was no diagnostic instrument available for “food addiction” although a number of screening tools do exist such as UNCOPE S, Yale scale, self-assessment questionnaires, etc.


SUGAR®  is based on the diagnostic criteria for harmful use, pathological use and addiction to mind-altering ( psychoactive ) drugs as described in the ICD-10 (International Classification of Diseases) . The instrument will be upgraded to ICD 11 in 2019. New research has shown that sugar/flour, and highly processed foods can act as psychoactive drugs on peoples reward system, especially those with a predisposition towards addiction.

SUGAR® is a tool for professionals who work with people who may have developed problematic or even chemical dependence, addiction to sugar / flour / food.

From the instrument the assessment will determine if the client has harmful use or pathological us ( addiction ) and the addiction development curve will show the clients relationship with sugar/flour /food from start and is the best motivational tool available today.


After the training, you will be able to:

  • Ask specific questions and create a therapeutic environment that will enable you to analyze the information collected from the SUGAR® assessment that is based on diagnostic criteria and knowledge about addiction medicine.
  • Compile the information gathered through SUGAR® in a way that the client and/or administrator and/or referral organization can understand and assimilate.
  • Assist the client to gain insight into their problems, break through denial, gain insight on how to receive help and direct the client to the appropriate treatment.


Only practitioners who are certified in SUGAR® are authorized to use this assessment

tool. Authorization for this tool requires completion of the SUGAR® training and certification course.


The purpose of the training is to learn how to use SUGAR® which is based on internationally approved criteria for dependence according to diagnostic criteria of the ICD 10 for harmful use and addiction.

SUGAR® is a tool that can help distinguish between ”harmful use” such as stress eating, emotional eating, and or harmful lifestyle eating versus the very intractable, chronic and serious disease of sugar / flour / food addiction.  This distinction is vital in order to provide adequate treatment for sugar/food addiction, as the treatment is different for the different conditions. Imbedded in the tool is screening for other outlets and addictions, mainly alcohol, subscription pills and street drugs, in order to assess for Addiction Interaction Disorder “These important screening address the need to understand Addiction Interaction Disorder as one illness with many outlets”



Prerequisites for the certification course for SUGAR® – at least one of the following:

  • Certification in Holistic Addiction Medicine- HAM. (For more information on HAM certification course, please see separate flyer).
  • Prior participation in training with  Bitten Jonsson
  • Prior participation in the ACORN professional intensive
  • Prior participation in the INFACT course.
  • Certification in ADDIS® or ADDIS® young
  • Nutrition specialist.
  • Licensed dietician or nutritional advisor
  • Academic degree in health and/or social fields (e.g. physician, nurse, psychologist, social worker, psychotherapist etc.)
  • Alcohol / drug counselor
  • A minimum of fourteen hours prior training in alcohol and/or drug addiction (for professionals who do not work in the field of addiction).

Special cases:

If you have no prior formal education in the health, social or addiction fields, exceptions can be granted for those with several years of work experience in the alcohol / drug area.

In this case you will be certified to conduct interviews, make judgments and propose actions, but the final responsibility and signature will be required by a professional fully certified in SUGAR®

* Holistic Addiction Medicine- HAM is a European certified specifically for sugar addiction. And includes biochemical repair.  SUGAR® training is included in the HAM curriculum.



Training Course

The training includes both theory and interactive engagement.


See separate flyer for full curriculum and outline (below)


PHASE ONE: Lecture series

  • What is addiction, and Addiction Interaction Disorder, current diagnostic criteria for chemical dependence (ICD 10 )
  • Sugar addiction, background and research.
  • SUGAR® interview: , background, development, aims, rationale, ,interview techniques including role playing, feedback, assessment and action plan.
  • SUGAR® interview. Privacy, confidentiality and application to personal professional needs
  • Summary including assessment of the symptoms. Proposals for implementation and treatment. Role play: to meet the client with the result. The therapeutic motivational interview where the client meets reality.


PHASE TWO: Supervised practical training – 2 case studies

Tutoring will be via live zoom seminars and will be recorded for free access to the tutorial .


In this phase the student will plan and execute the SUGAR® assessment under instructor supervision including completion of the SUGAR form, transferring  data to the relevant checklists, compiling the symptoms curve, assessment and analysis of the results and recommendation for an action or treatment plan.


Participation in a closed Facebook group will be offered to develop skills in an online peer group setting.


PHASE THREE:  Final Examination

The final examination will be performed upon completion of the theoretical and practical training including submission of three case studies for review.


The examination consists of:

  • A written test .
  • Practical implementation of a self-case report.


Once you have successfully completed the course requirements and final exam you will be certified in the use of the SUGAR® assessment tool.



A mandatory refresher course every two years is required to maintain certification.  This course is a one-day online training session which will include  discussion with your peers about the SUGAR® tool and new case studies.




The training does not provide certification to conduct ADDIS® or ADDIS YOUNG® interviews.

In order to obtain authorization to use the  ADDIS®  or ADDIS YOUNG®  tool one must undergo specific certification training for this tool. (See



  • SUGAR® certification course –1092 US dollars
  • SUGAR® re-certification/refresher course –195 US


For more information and application please contact:

Bitten Jonsson, Reg. Nurse  Addiction Specialist, ADDIS / SUGAR Cert.


Tammskanalvag 11 C S-820 64 Nasviken, Sweden


Mobile: + 46 70 643 7373

Facebook; Bittens Addiction  Twitter; Bitten Jonsson


References and recommendations:

Clarissa Kennedy

I am pleased to provide a Letter of Recommendation for Bitten Jonsson and
the SUGAR ® training course that she teaches.
Bitten is a dedicated, committed teacher with many years of experience in
the field of sugar/flour and/or food addiction. She teaches from a front line
perspective which allows a deeper understanding of how to effectively use
the tool SUGAR ® with your clients. She has confidence in herself and
demonstrated success with this tool and she will inspire confidence in you as
Bitten is easily able to capture the attention of the class by providing real life
examples and mentoring her students in real time while they are working
through their own test cases. Her sense of humour makes learning fun and
speaking about difficult topics enjoyable. Her confidence helps ease students
Her hand on approach to teaching the class is essential in grasping how to
conquer any difficulties or challenges that the students were experiencing.
The online classroom environment was enhanced by having like-minded
skilled professional’s in the field provide feedback on your personal test
cases and share their own struggles in administering the SUGAR ® tool for
the first time with their test cases. Bitten has all of the core competencies
required to predict success in your understanding of the assessment and
mapping tool SUGAR ® This perspective is based upon my years of
experience working and upgrading my skills in the addictions field.
In my experience of using SUGAR ® with my food addiction clients it has
been a game changer for them. It provides them with a visual demonstration
of how their sugar/flour/ and/or food addiction has controlled their life and it
confronts their denial head on. I have found this tool helps clients move from
a stage of preparation to action as it breaks down their final barriers to

beginning the recovery process. I also have found that it helped me to better
understand addiction interaction disorder and strengthened my assessment
and determination of the most appropriate treatment plan for them.
In summary, I highly recommend Bitten Jonsson and the SUGAR ® course as
having this certification will enhance your practice. It is a key tool in
understanding the intricacies of sugar/flour/ and/or food addiction.

Clarissa Kennedy
+1 905 977 0230

Zipyy Livneh Registered Nurse, BsC, MBA. Food addiction specialist

Ewa Meurk

”If you are going to be able to treat sugar addiction properly, you need to know whether a patient is
dependent or not. Otherwise, there is a great risk that you will give the wrong treatment. SUGAR is a
powerful tool if you want to diagnose a sugaraddiction. It ensures that the patient receives the right
treatment. It is also an excellent way to understand the consequences of a sugaraddiction, both
physically and mentally. If you understand your addiction, then  you get the power to make a lifestyle
Certified functionalmedicin terapeut and nutrition terpeut, Certified in
SUGAR,, +4670951 90 96. Sweden”

Cynthia Meyers-Morrison Ed.D

+1 215 353 7034

Revised January 5 th 2019




SUGAR Certification training, spring 2019

More information about SUGAR RE coming soon.